Richard E Allen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50964421205 Issued in UT

Practice address

1250 East 3900 South
Suite 260
Salt Lake City, UT 84124-1371

Phone

(801) 265-2000

Fax

(801) 265-2008

NPI assigned

Dec 8, 2005

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25864/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bristol Hospice - Utah II, L.L.C.

  • Community Based Hospice Care Agency
  • Murray, UT
  • NPI 1619253606

  Contracted Managing Employee

  CMS ownership
• Bristol Hospice - Utah, L.L.C.

  • Community Based Hospice Care Agency
  • Ogden, UT
  • NPI 1164527792

  Contracted Managing Employee

  CMS ownership
• Health Watch Hospice of Utah Inc.

  • Community Based Hospice Care Agency
  • Orem, UT
  • NPI 1518500479

  Contracted Managing Employee

  CMS ownership
• Milford Memorial Hospital

  dba Monument Healthcare Millcreek

  • Skilled Nursing Facility
  • Salt Lake City, UT
  • NPI 1699533497

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santibanez Pac Utah

  • Geriatric Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1881469484
  Medicare reassignment NPD
• Utah Healthcare Institute Inc

  dba St. Mark's Family Medicine

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1376597344
  Medicare reassignment NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  UT

  Medicare reassignment NPD
• Centre Health Group

  • Primary Care Clinic/Center
  • Provo, UT
  • NPI 1851917496
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1831174226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 EAST 3900 SOUTH",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241371",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EAST 3900 SOUTH",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241371",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3618 Folker Cir",
            "address_purpose": "LOCATION",
            "city": "Salt Lake",
            "state": "UT",
            "postal_code": "841093664",
            "country_code": "US",
            "telephone_number": "801-870-0464",
            "fax_number": "801-265-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "50964421205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870617263004/D6283",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Allen, MD
• Natalie Holt Allen, FNP-BC
• Nicole Allen
• Randi Lynn Allen
• Rebekkah Allen
• Savannah Allen, LCSW
• Scott Allen
• Sidney Louis Allen
• Steven Nevin Allen, PHD
• Thomas James Allen, DDS

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.